A new study published in the latest issue of the Journal of Small Animal Practice (JSAP), reports the clinical features, gross post mortem and histopathological findings of sudden or unexpected death in rabbits during an outbreak of RHD.

For the study, titled “RHDV2 epidemic in UK pet rabbits. Part 1: clinical features, gross post mortem and histopathological findings”¹, veterinary surgeons were encouraged to submit case histories and the results of post mortem examinations of pet rabbits that died suddenly. Samples taken during the post mortem were sent for histopathological examination.

Frances Harcourt-Brown, corresponding author for the paper, said: "Case histories, macroscopic findings and histopathology results were available from 300 rabbits that died suddenly.

"Of these, 185 (62%) died from RHD and showed characteristic histopathological features of RHD including apoptosis and variable lytic and coagulative hepatocellular necrosis, with varying distribution.

"Interestingly, macroscopic evidence of disease was not present in all cases – for example, gross liver abnormalities were only reported in 30% of cases, despite all cases showing hepatocellular necrosis on microscopic examination.

"Rapid death and death of other rabbits in the household were common features of RHD.

"Histopathology was also useful in yielding valuable information about other causes of death in the rabbits that did not die from RHD.”

Nicola Di Girolamo, editor of JSAP said: “This is a terrible disease that is currently spreading in areas of the world that were free from it until recently. Having more evidence on the type of clinical presentations and lesions that should be expected with this disease in rabbit patients is going to be of tremendous value for clinicians. Given that there is not always macroscopic evidence of RHD, histopathology is key for the diagnosis of RHD in pet rabbits.”

The full article can be found in the July issue of the Journal of Small Animal Practice which is free for BSAVA members.

It can also be read online here: https://www.onlinelibrary.wiley.com/doi/full/10.1111/jsap.13141

Reference

1. 1N. Harcourt-Brown, M. Silkstone, T. J. Whitbread and F. M. Harcourt-Brown (2020) RHDV2 epidemic in UK pet rabbits. Part 1: clinical features, gross post mortem and histopathological findings.  Journal of Small Animal Practice, 61 (7). Available at: https://www.onlinelibrary.wiley.com/doi/full/10.1111/jsap.13141

Photo: BSAVA

CVS has reported the results of a clinical improvement project it ran in 105 of its first opinion small animal practices to increase screening for hypertension in older cats.

According to the company, participating practices more than doubled the number of blood pressure checks they conducted, within 12 months. 

The CVS’ clinical improvement project initially looked at how effective its first opinion small animal practices were in screening older cats for hypertension.

In line with the veterinary industry norm, it found that less than two per cent of cats over the age of seven were receiving an annual blood pressure check.

This initial research also found that the common barriers to conducting blood pressure checks by vets and veterinary nurses in practice were due to time constraints, availability of equipment and simply remembering to discuss blood pressure checks with owners.

Each CVS site chose two people to lead the initiative at their site, to aid communication and delivery.

A document was created to help, providing background, aims, summary of resources and planning sections.

Contributory factors preventing delivery of blood pressure checks were outlined and practices were encouraged to identify additional barriers and resources needed.

A suite of resources were then produced to support the practice team - from reception to veterinary surgeons - in improving annual blood pressure check rates.

The resources included new clinical frameworks and veterinary guidelines on how to treat hypertension; in-practice educational resources to highlight the benefits of hypertension screening and information sheets and blood pressure diaries to help clients manage their pets condition.

To upskill and develop colleagues in how to identify and treat hypertension and resulting conditions, a collection of training materials was created and training sessions held.

These included a series of webinars which explained why hypertension is important to identify, how to overcome common challenges encountered when looking for hypertension in cats, how to use the ophthalmic exam to help diagnose hypertension and how to treat hypertension.

Three in-person CPD days were hosted with the support from Ceva six months into the project where feline specialists Sarah Caney and Samantha Taylor shared the latest evidence base in this field and practices were encouraged to share barriers, queries and tips, so that ideas could be taken away to make blood pressure screening a simpler process in practice.

Practices were also encouraged to organise lunch and learn CPD sessions, to share best practice and generate discussion within their team.

In addition, a website was created to host all resources in one place, including webinars, clinical frameworks, client resources, a discussion forum and data.

An audit of each participating practice’s blood pressure check data was conducted at the start of the project.

Results were then shared with each participating practice every month - including the total number of blood pressure checks performed each month and the percentage of cats over the age of seven who had an annual blood pressure check.

Twelve months after its nation-wide launch, results reveal that the number of blood pressure checks have more than doubled (110%) within participating CVS practices and an additional 5,984 blood pressure checks have been performed year on year.

A number of practices were able to implement systems that allowed them to perform over 40 blood pressures each month.

The number of cats on amlodipine (the first choice medication to treat hypertension in cats) increased by 303 patients year-on-year, hinting many more cats had been diagnosed with hypertension.

Kate Allgood, Hub Clinical Lead at CVS who was responsible for the hypertension clinical improvement project, said: “There is a huge benefit in treating hypertension.

"No one wants to see a cat suddenly become blind due to hypertension that wasn’t recognised in time.

"So many associated longer-term feline complications and conditions can be avoided if annual blood pressure checks in cats over the age of seven are routinely performed.

"Increasing blood pressure screening is not a simple task though, and this focus has allowed space and time for practices to give this topic the recognition it deserves; to identify and implement systems that make it easier to identify patients at risk, discuss with clients and perform these checks with ease.

"We have created a robust clinical structure, produced some easily accessible materials and supported our practices to make small and simple changes that add up.

"Our practices have done an outstanding job at delivering this project to date and I look forward to seeing what can be achieved in the future. We strongly believe that this work will contribute towards providing some of the best clinical care for cats in the veterinary profession.”

The Royal College of Veterinary Surgeons has produced bookmarks for accredited practices to give clients, which explain the RCVS Practice Standards Scheme (PSS).

Lizzie Lockett, Head of the RCVS Communications Department said: "A key part of the PSS is helping practices explain their accreditation to clients - and the bookmarks are a simple and eye-catching promotional tool for this. We hope they will have the advantage over conventional leaflets of being kept, and used, by clients, meaning the accredited-practice message is more likely to be taken on board. Although many people are using e-books these days, the traditional book - and bookmark - still has a place." 

All accredited practices may order a free sample of 100 bookmarks, and a further 400 free bookmarks are available to practices recently renewing or receiving accreditation. More bookmarks may also be ordered from the RCVS, as well as the new accredited-practice logos. To find out more, or download an order form, practices can visit www.rcvs.org.uk/PSSpromo.

HRH The Princess Royal has opened the Animal Health Trust's new cancer treatment and research facility in Suffolk.

The facility has been purpose-built to treat horses, dogs and cats with cancer. It will also assist in furthering understanding of the disease in animals.

Peter Webbon, Chief Executive of the AHT, said: "2012 marks 70 years of the AHT fighting disease and injury in animals, and the addition of the Cancer Centre is a landmark achievement in our history. We believe this is the first facility of its kind in Europe, purpose-built to treat horses, dogs and cats with cancer. We now have a short commissioning process to undertake but anticipate welcoming the first patients through the doors in early 2013."

The Kennel Club Cancer Centre at the AHT houses a linear accelerator (pictured right) and brachytherapy machine used in radiotherapy treatment, along with a 16-slice CT scanner to aid radiotherapy planning.

The new facility complements the AHT's existing cancer treatment options of surgery and chemotherapy meaning the Suffolk-based charity will be able to offer each and every patient the very best options for their specific case, whatever the diagnosis.  With one in four dogs and one in six cats developing cancer at some time in their life the new centre will help many more animals fight cancer.

Peter Webbon, added: "It was thanks to a generous donation from the late Tom Scott, a long-term supporter of the AHT, that we were able to start this development. His donation, along with that from many other AHT supporters, and an interest-free loan of £1.5 million from the Kennel Club has meant this ambitious project has come to fruition so quickly."

It has taken just over a year to build the Cancer Centre which contains more than 2,600 tonnes of concrete and has eight-feet wide solid concrete walls.

On opening the facility, HRH The Princess Royal, President of the AHT, said: "This Cancer Centre is an exciting development at the AHT and will make a real difference for animals with cancer, here and now. It will improve the chances, for many animals, of beating this pernicious disease.

"Countless other horses, dogs and cats across the world with cancer, who will never be seen by an AHT clinician, will also benefit from knowledge gained from research in The Kennel Club Cancer Centre at the AHT."

The AHT has a strong history in cancer research and the Kennel Club Cancer Centre will enhance the charity's well established cancer research programme. Knowledge gained through the treatment of animals in the facility will contribute to the study of cancers, their causes, early diagnosis and treatment, and ultimately hopefully the prevention of some forms of the disease.

Steve Dean, Kennel Club Chairman, said: "I am very proud to be here today to celebrate the opening of the Kennel Club Cancer Centre. Thanks to the expertise available here at the Animal Health Trust, the Cancer Centre will provide advanced techniques for the diagnosis and treatment of cancer, to the benefit of many animals.  It is exciting to consider how synergy between the Kennel Club Cancer Centre and the Kennel Club Genetics Centre can help to further the understanding of the inheritance factors that influence the development of cancer."

A new epidemiological study from the VetCompass Programme at the Royal Veterinary College has revealed that certain breeds of bitches are more predisposed to urinary incontinence.

The study, Urinary incontinence in bitches under primary veterinary care in England: prevalence and risk factors, which will be published in the Journal of Small Animal Practice, also found that other factors such as weight, neuter status and age also play key roles.

The authors hope that the study findings will provide an evidence base that allows veterinary surgeons to enhance their clinical recommendations for higher risk bitches.

The study was based on a population of 100,397 bitches attending 119 veterinary clinics across England. The main findings included: 

• Urinary incontinence affects 3.14% of bitches overall, but affects over 15% of bitches in some high-risk breeds
• High-risk breeds include the Irish Setter, Dobermann, Bearded Collie, Rough Collie and Dalmatian
• Bitches weighing above average for their breed had 1.31 times the odds of urinary incontinence compared with bitches weighing below average
• Older bitches were also predisposed, with bitches aged between 9 and 12 years old having 3.86 times the odds compared to younger bitches
• Neutered bitches had 2.23 times the odds compared with entire bitches

The study also gave evidence on the welfare impact from urinary incontinence. Almost half of cases (45.6%) received medical therapy for the condition. In addition, of the bitches that died during the study period, urinary incontinence was recorded as either contributory or the main reason for death in 16.7 % of these deaths.

RVC veterinary epidemiologist and VetCompass researcher Dr Dan O’Neill said: "This urinary incontinence study has uncovered dramatic breed predispositions that have previously been hidden to vets and owners.

"Overall, about 3% of bitches were affected but this rose to over 30% in the Irish Setter and over 20% in the Dobermann with many other breeds also predisposed.

"Vets can now use these results to alert owners to typical clinical signs in order to ensure earlier treatment and better outcomes. The study also suggests increased risk in heavier and neutered bitches.

"Following on from this study, a VetCompass Masters project supported by BSAVA PetSavers is working to unravel these associations in order to identify potential preventive strategies, especially in those highly predisposed breeds."

The paper is available in Early View on Wiley Online Library ahead of publication in the JSAP at http://onlinelibrary.wiley.com/doi/10.1111/jsap.12731/full

Reference

1. Urinary incontinence in bitches under primary veterinary care in England: prevalence and risk factors, D. G. O'Neill, A. Riddell, D. B. Church, L. Owen, D. C. Brodbelt and J. L. Hall. Journal of Small Animal Practice. Accessed online 7th December.

Photo: ©Diane Peace Collection / The Kennel Club

The Dogs Trust has released the results of its 2010 Stray Dog Survey, which shows that 51% of stray dogs picked up by local authorities in the UK were reunited with their owners.

According to the charity, this compares with 42% last year and is only the second time the figure has gone through the 50% barrier since survey records began in 1997.

Where the method used to return stray dogs was identified, the proportion of dogs returned through microchipping was 35% - up from 31% last year.

Dogs Trust is repeating the call for the introduction of a compulsory microchipping system for all dogs in the UK. It believes this will help reunite even more owners with their lost pets, trace abandoned pets back to irresponsible owners and ultimately reduce the number of healthy dogs unnecessarily put to sleep in the UK.

The annual Stray Dog Survey, conducted by GfK NOP on behalf of Dogs Trust, shows an overall increase in instances of straying from 107,228 to 121,693. However, taking into account the number of dogs reclaimed or returned to owner (45,329 in 2009 and 61,908 in 2010) we can estimate that this year the number of dogs actually abandoned (approximately 59,785) as opposed to being wanted pets that simply strayed has fallen by 3%.

There has been a considerable decline in the number of dogs being put to sleep by Local Authorities due to ill health, aggression (under the Dangerous Dogs Act) or simply for want of a home. Down from 9,310 in last year's survey to 6,404 this year. Dogs Trust is delighted at the progress Local Authorities have made in bringing down these numbers and their efforts in rehoming and returning so many dogs to their owners.

Dogs Trust Chief Executive Clarissa Baldwin said: "Dogs Trust is encouraged to see that although the instances of straying in the UK has increased in the last two years, the percentage of these dogs being reunited with their owners has increased and, more importantly, the numbers being put to sleep has fallen drastically.

"We are delighted to see that microchipping is having a serious impact on the stray dog situation in the UK. Dogs Trust runs subsidised microchipping campaigns across the country and in particular those areas with the biggest stray dog problems. A compulsory microchipping system would undoubtedly improve the situation further."

Dogs Trust says the introduction of compulsory microchipping would:

• Enable lost or straying dogs to be reunited promptly with their owners - meaning fewer dogs will be put to sleep at council pounds
• Permanently identify a dog in such a way that is virtually impossible to alter or remove - a clear advantage for dogs that are stolen
• Enable clear identification of the dog's owner when prosecution is being considered for dog thieves and antisocial behaviour
• Significantly decrease the workload of all those dealing with stray dogs
• Reduce kennelling costs for Local Authorities and save time
• Allow puppies bred illegally or inappropriately on puppy farms to be traced to their source

Merial Animal Health has revealed the latest MOO test figures which suggest that the productivity of four out of five UK dairy herds is compromised by high levels of gutworm.

The company says it has been helping dairy farmers to assess the level of gutworm challenge in their herds since 2009 by supporting and promoting MOO tests. The test measures the level of antibody to gutworm (Ostertagia ostertagii) that is present in a bulk milk sample and can determine if the herd has been exposed to low, medium or high challenge.

Data from five years of MOO tests shows that whilst there was a steady reduction in the number of herds with a high challenge between 2009 and 2013, the figure rose in 2014. In 2009, 93% of herds tested high and by 2013 this had fallen to 71% but this rose again to 88% last year.

Merial says that whilst these figures show an overall reduction in challenge since 2009, levels of gutworm across the UK dairy herd are still very high. Those animals affected will suffer from the negative impact of a parasite burden on productivity and fertility.

Between 2009 and 2014 nearly 900 dairy herds across the UK have been tested. During that time several counties had significant numbers of herds with high gutworm challenge results. This included Cheshire (85%), Cornwall (93%), Cumbria (91%), Dyfed (92%), Lancashire (90%), North Yorkshire (83%), Shropshire (86%), Somerset (86%), and Staffordshire (83%).

Sioned Timothy, veterinary adviser for Merial Animal Health, said: “Gutworm can significantly reduce the productivity of the herd. Although adult dairy cows develop immunity to gutworm that makes them resilient to outward clinical signs of infection, it does not prevent them from becoming infected with Ostertagia ostertagi. This parasite burden can reduce milk yield by as much as 2.6 litres per cow per day¹”

She continued: “Gutworm may also have a negative impact on fertility. Removing damaging gutworms from dairy cows may improve their fertility and has been linked to reduced calving to conception intervals and improved conception rates² to levels comparable with animals without a gutworm burden.

"Calving is another key period in the production cycle. Optimising cow and heifer management during this period is critical to the animal’s health and productivity throughout the subsequent lactation. Cows treated for gutworms around the time of calving have been shown to increase their grazing time by almost an hour compared to untreated cows³. Improved appetite and higher dry matter intake helps cows to bridge the energy gap; maximising their production, and reducing the time it takes to get them back into calf⁴.”

The MOO test figures show that the UK dairy herd continues to be affected by high levels of gutworm challenge. At a time when maximising productivity is vital to dairy business success, farmers should seriously consider testing their herd this autumn and develop a treatment plan with their vet or animal health adviser based on the result.”

MOO tests will be available in autumn 2015. The results of MOO tests are sent to both the farmer and their vet or animal health advisor, to enable them to determine the best course of action and treatment.

References

1 Reist et al, Effect of eprinomectin treatment on milk yield and quality in dairy cows in South Tyrol, Italy. Veterinary Record 2011 168, 484-487 Vet Rec 2002151:377-380
2  McPherson  et al. Proceedings of the American Association of Veterinary Parasitologists. 44th Annual Meeting, New Orleans, Louisiana, USA, 1999 Abstr. 28.
3 Forbes et al. Behavioural mechanisms underlying production responses in dairy cows treated with eprinomectin. 19th WAAVP Congress 2003, New Orleans
4 Sanchez et al. The effect of eprinomectin treatment at calving on reproduction parameters in adult dairy cows in Canada. Preventative Veterinary Medicine 2002 56:165-177

IVC Evidensia has announced plans to shake up the traditional lecture format at the London Vet Show, taking place at the ExCel on 11th-12th November. 

Instead of the traditional format, where one expert, perhaps two, come and lecture on a subject, IVC has gathered together experts from different disciplines to give their differing perspectives on a subject, each talking for 30 minutes. 

For example, you'll be able to hear about BOAS surgery from the perspective of a Specialist in Small Animal Internal Medicine, an anaesthetist, a Specialist in Small Animal Surgery and a Specialist Surgical Nurse.

Collapse will be covered by a neurologist, a cardiologist and an ECC specialist.

IVC says the aim is to make the sessions as concise and to-the-point, but as practical as possible, and you'll be able to come and meet the speakers on the stand afterwards.  

Richard Artingstall (MBA, MA, Vet MB, CertSAS, MRCVS, RCVS Advanced Practitioner in Small Animal Surgery) from Vale Referrals and the IVC Evidensia Referrals Strategy Group, said: "Working our Referrals and Equine streams like this gives delegates the opportunity to gain a real insight, from different disciplines, into how our specialists work up a case.

"The lectures will offer practical, discipline-based guidance, looking at clinical presentations and problems from different discipline perspectives. Our hope is that this will help delegates in decision making and planning case management plans for these more tricky case presentations in practice. I think it will be incredibly useful for them and I can’t wait to be there."

More information: https://london.vetshow.com/ivc-clinical-theatre 

The RCVS is now hosting a new evidence-based compassion focused therapy (CFT) course for veterinary professionals, which is available free at its Mind Matters Initiative website.

The course has been made available after its authors, Dr Katherine Wakelin and Sarah Corthorne from the University of Surrey, received a Mind Matters Grant to conduct research which found it improved the mental wellbeing of veterinary professionals.

Katherine and Sarah will also be hosting a webinar from 7pm – 8pm on Tuesday 3rd September to discuss the importance of self-compassion, provide an overview of their research, as well as information on the course itself.

Katherine said: “Our recent randomised control trial has shown the course to significantly improve resilience and self-compassion and reduce rumination and self-criticism amongst veterinarians.

"Therefore, Sarah and I are delighted to now be disseminating the CFT course freely to the veterinary profession, so that as many people as possible are able to benefit from the evidence-based resource.

“Even though our research was conducted on veterinary surgeons, we hope that the course will be useful to all those working in the veterinary team as the content can be applied in a number of contexts.

“Our webinar will explain more about our research, as well as some of the science behind the effectiveness of the course in a veterinary context.

"So, if you are interested in learning more about how CFT may be able to help you and your team, both in a personal and professional capacity, please do come along.”

In order to access the online compassion course, individuals are invited to complete a short questionnaire before and after watching one video (10-15 minutes long) each day for 14 days. The aim of the video intervention is to develop self-compassion skills and reduce self-criticism. This will also allow Katherine and Sarah to evaluate the ongoing impact that the videos are having on those working in the sector.

https://vetmindmatters.org/resources/free-online-compassion-course-for-veterinarian-mental-wellbeing/ 

Over half way through Intervet's National Vaccination Month, and according to the company, over 2100 practices are taking part.

Various statistics the company has released, which you might find interesting:

Nearly two thirds of all vet practices have seen parvovirus, in the past year, while 43% have seen leptospirosis, which is spread by rats.

62% of pet owners consider their animal to be an extremely important member of the family with over half (58%) buying them Christmas presents and over one in four (27%) taking time off work for their pet.

However, only 56% of these pets were vaccinated and around more than quarter (28%) of owners were unaware of any disease risk.

Currently, 3 million dogs, 6 million cats and 1.8 million rabbits are unvaccinated, leaving them at risk of a range of fatal diseases, many of which are untreatable.

Intervet has put together an impressive range of support materials for National Vaccination Month, including a pet-owner website: http://www.vaccinationmonth.co.uk/, a discount voucher scheme (on the website) for use in participating practices, TV advertising and a Vaccination Month Podcast primarily aimed at owners.

In an article published in the autumn edition of the Equine Veterinary Journal, Professor René Van Weeren, Chair of Equine Musculoskeletal Biology at Utrecht University, suggests that equine lameness needs to be redefined to reflect new digital assessment techniques that use preset parameters to detect gait asymmetries.¹

The traditional method for detecting equine lameness is subjective, using expert visual evaluation of gait to identify the presence or absence and degree of asymmetries. The lame horse is described as having a disorder, defect or loss of function and this clinical diagnosis has associated welfare implications if the horse is still asked to perform.

The article explains how advanced computer technology is starting to change all this. Optic motion capture or the use of inertial measurement units (IMUs) is now enabling the detailed study and quantification of the horse’s gait; objective assessment against preset thresholds. The paper points out that while these digital systems can overcome the temporal and spatial limitations of the human eye they simply rely on one or a number of set gait parameters to decide about lameness and this can present obstacles.

Thresholds are forcibly based on a limited reference population, which doesn’t adequately reflect the millions of horses in the world. The individual environmental and mental conditions for each horse and its day-to-day gait variations are also not accounted for. On this basis to use the term ‘lame’ because a horse demonstrates a subtle gait alteration, causing it to fall below the threshold, could be inappropriate, particularly as it may not affect the horse’s welfare in any way.

Professor Celia Marr, Editor of the Equine Veterinary Journal said: "An important first step is for researchers and clinicians to start to discriminate clearly between 'asymmetry' and 'lameness' and not to use these as interchangeable terms when interpreting gait analysis data. Asymmetry is often, but not always, a hallmark of lameness, but is not a clinical term, whereas lameness is."

1. Do we have to redefine lameness in the era of quantitative gait analysis? P.R. van Weeren, T. Pfau, M. Rhodin, L. Roepstorff, F. Serra Bragança, M.A. Weishaupt. Equine Veterinary Journal 49, 567-569.

Giles Yeo MBE, Cambridge Professor of Molecular Neuroendocrinology, will deliver a lecture looking at the genetics of canine obesity on Friday 21st November, 11:00am to 12:15am, at BVA Congress. 

Giles is the professor of molecular neuroendocrinology at the Medical Research Council Metabolic Diseases Unit and scientific director of the Genomics/Transcriptomics Core at the University of Cambridge.

He is a well-known broadcaster thanks to his appearances on programmes such as BBC’s ‘Horizon’ and ‘Trust me, I’m a Doctor’ and author of two books: Gene Eating: The Story Of Human Appetite and Why Calories Don't Count.

He also hosts the podcast Dr Giles Yeo Chews The Fat. 

Giles and his colleagues at the University of Cambridge recently identified a genetic mutation in Labrador retrievers that significantly increases their propensity for obesity and food motivation.

This mutation, a 14-base pair deletion in the POMC gene, disrupts the production of beta-MSH and beta-endorphin, hormones involved in regulating appetite and energy balance.

The study found this mutation is present in about 25% of Labradors and 66% of flat-coated retrievers, and is also more common in assistance dogs than pet Labradors.  

Giles' lecture: "The genetics of obesity: Can an old dog teach us new tricks?" will lay out the evidence for a genetic basis to body weight and explore the role of the leptin-melanocortin pathway in both human and dog obesity, and its conservation through evolution. 

Giles said: “It is clear that the cause of obesity is a result of eating more than you burn.

"It is physics.

"What is more complex to answer is why some people eat more than others?

"Differences in our genetic make-up mean some of us are slightly more hungry all the time and so eat more than others.

"I will highlight the fat-sensing 'leptin-melanocortin' pathway, as a key appetite control circuit.

"Not only is the pathway conserved in all mammals and many higher vertebrates, but genetic disruption of the pathway as an evolutionary strategy to influence feeding behaviour has also been conserved. In contrast to the prevailing view, obesity is not a choice.

"People who are obese are not bad or lazy; rather, they are fighting their biology.” 

British Veterinary Association President Elizabeth Mullineaux said: “I’m sure our BVA Congress delegates will appreciate both Dr Yeo’s scientific knowledge and his dynamic delivery style and I’m personally looking forward to learning more about this exciting topic.” 

https://london.vetshow.com